• skin-to-skin;
  • patient satisfaction;
  • neonatal thermoregulation

Poster Presentation

  1. Top of page
  2. Poster Presentation

Purpose for the Program

As cesarean birth rates increased in the United States in response to the American College of Obstetricians and Gynecologists’ statement concerning vaginal birth after cesarean, studies demonstrated higher dissatisfaction with childbirth experiences. Women giving birth by cesarean are more prone to postpartum depression, bonding difficulties, and unsuccessful breastfeeding.

Proposed Change

To increase maternal delivery satisfaction, we developed a plan to provide skin-to-skin contact immediately after cesarean births. The proposed change broke the barriers between the traditional surgical environment and the delivery room and required collaboration between the departments of surgical services, anesthesia, pediatrics, and obstetrics.

Implementation, Outcomes, and Evaluation

Informal surveys of patient satisfaction since implementation have been positive. A more formal evaluation of the process will include a review of newborn thermoregulation in the operating room and a postpartum survey of patient satisfaction.

Implications for Nursing Practice

This new service is an example of how nurses are empowered to question tradition to advocate for their patients.